Form Mv-1 - Dor - Motor Vehicle Title/tag Application
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MV-1 (Revised 11-2013)
DOR - Motor Vehicle
$ 10.00
Title/Tag Application
Vehicle Section:
Except for the signature, this application must be typed, electronically completed & printed or legibly hand printed in black or blue ink.
Vehicle Identification Number
Year
Make
Body Style
Model
Color
Cylinders
New or Used
Date Purchased
Emission Certificate #
Current Title #
Current Title’s State of Issue
GA County of Residence
District #
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Odometer Reading
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Warning odometer discrepancy!
Complete For All Commercial Vehicles
Gross Vehicle Weight & Load
Straight Truck?
Used For Hire?
Type of Trailer Pulled?
Product Hauled?
Is This A Farm Vehicle?
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□
□
□
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_______________________
Yes
No
Yes
No
__________________
_______________
Yes
No
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Owner Section
Number of Owners___________
Leased Vehicle?
No
Yes
Owner # 1
Full Legal Name of Owner #1
Date of Birth
If you purchased this vehicle from an out-
of-state dealer/business, did you pick-up
the vehicle out-of-state?
□
□
Yes
No
Owner # 2
Full Legal Name of Owner #2
Date of Birth
Address (Street address including city, state & zip)
Mailing Address (If different from street address including city, state & zip)
Seller Section
Lessee Section
GA Dealer’s/Bank’s 12 Digit Customer ID# (If Applicable)
Driver’s License #, if individual*
Full Legal Name or Business Name & Address:
Lessee’s Full Legal Name & Address or Business Lessee’s Full Name & Address:
If Georgia Seller, GA County Name
* Directly Financed Dealer Sale
Lessee’s GA County Location
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Security Interests or Liens Section
Number of Security Interests or Liens: _______
Security Interest Holder’s/Lien Holder’s ELT 12 Digit Customer ID #
Security Interest Holder’s/Lien Holder’s ELT 12 D igit Customer ID #
Name & Address of 1
st
Security Interest Holder/Lien Holder:
Name & Address of 2
nd
Security Interest Holder/Lien Holder:
Security Interest Holder's/Lien Holder's ELT 12 Digit Customer ID#
Name & Mailing Address of Attorney-in-Fact - Attach original power of attorney if title is to
be mailed to attorney-in-fact.
rd
Name & Address of 3
Security Interest Holder/Lien Holder:
I do solemnly swear or affirm under criminal penalty of a felony for fraudulent use of a false or fictitious name or address or for making a material false
statement punishable by fine up to $5,000 or by imprisonment of up to five years, or both, that the statements contained herein are true & accurate.
Owner #1 Signature______________________________________________ Owner #2 Signature_____________________________________________
*A Georgia license plate and registration will not be issued until the applicant presents, at the time of application, their valid Georgia driver’s license or
Georgia identification card.
Owner 's E-mail Address_ ________________________________________________ __________________________________
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Parent category: Financial